32 year old American women reported to our hospital seeking to correct the shape of her nose. Her nose was disproportionately large and which affected her appearance. She sought to enhance the appearance of her nose for a more pleasing look.​Maxillofacial surgeon Dr. S.M. Balaji successfully performed the reduction rhinoplasty using closed rhinoplasty technique to reduce the size of the nasal framework. Intranasally, bulky tip of the nose was reduced by removing the caudal portion of nasal septal cartilage and asymmetrical nostrils were corrected by removing the footplate of medial crus on the left side. Lateral and medial osteotomy was done to reduce the width of the nose. The surgery was done from inside the nose to avoid scarring. Immediately following surgery the nose appeared proportionate greatly enhancing the facial appearance.